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한수경,김남순,조홍규,송호준,최충호,최남기 대한소아치과학회 2007 大韓小兒齒科學會誌 Vol.34 No.1
본 연구의 목적은 정신지체 학생의 구강건강 실태 및 치아우식 활성도를 평가하여, 학생들의 구강건강 증진을 위해 필요한 교육 방안을 모색하고, 실제적인 구강건강 관리 향상을 위한 기초 자료를 마련하고자 하는 것이었다. 광주광역시 소재 S 정신지체특수학교 유아부부터 고등부까지의 학생을 대상으로 조사를 실시하였다. 구강건강실태를 평가하기 위한 구강검사는 213명에 대해 시행하였으며, 치아우식활성도 검사는 197명에 대해 시행하였다. 치아우식활성도 평가를 시행한 197명의 정신지체 학생 중 우식활성이 고도인 학생은 33명(16.77%)으로 나타났으며, 13세 이하가 그 이상의 연령에 비해 치아우식활성도가 높았다. 치아우식활성도의 경중도와 치은염 유무와는 관련성이 없는 것으로 나타났다. 정신지체 장애학생의 치아우식활성도 경중과 치아우식경험지수와의 상관성을 평가한 결과, 치아우식활성도가 증가할수록 우식경험치율과 우식경험치지수가 높은 양상을 보였으며, 특히 유치의 경우 우식경험유치율 및 우식경험유치지수는 치아우식활성도와 높은 상관성을 보였다. The purpose of this study is to evaluate oral health status, caries-inducing bacterial activity of the mental retardation students, and developing motivation method for improving oral hygiene management by clarifying the relationship between caries- inducing bacterial activity and oral health status of mental retardation students. Caries experience indices, caries susceptibility test, gingival health evaluation, and oral hygiene management and oral health survey were performed. Results were as follows: 1. The DMFT index of disabled students(12 years) was 2.07. 2. The gingival inflammation was occurred more frequently in older ages. 3. There also was a high positive correlation between caries incidences and the results of caries-inducing bacterial activity test especially in deciduous teeth. This result suggested that the Dentocult SM mutans test as a caries activity test is a reliable method for measuring the status of dental caries in mental retardation students. Because it would motivate the mental retardation students to care more actively for their oral hygiene if they learn how much dental caries-inducing bacteria are living in their mouth by observing the bacterial colony on the cultured test strip, it can become a possibly efficient educational tool for the mental retardation students.
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이경호,박현진,강지연,최희원,조용석,김경원,양수남 大韓顎顔面成形再建外科學會 2002 Maxillofacial Plastic Reconstructive Surgery Vol.24 No.6
Most neck masses of specific cause occur in rather predictable locations within typical age groups. This allows a systematic approach to developing a working diagnosis and a differential diagnosis and management plan for the patient presenting with a neck mass. Pathologic masses of the neck will be divided into the following segment: 1. Masses of nonspecific location. 2. Masses in the submandibular region, 3. Masses in the parotid region, 4. Masses in the median-paramedian region, 5. Masses in the lateral neck region. The lateral neck region is the area posterior to the hyolaryngotracheal conduit, below the posterior belly of the digastric muscle and tip of the parotid gland, and extends down to the clavicle. The contents of this region include the large vessels, nerves and greatest number of lymph nodes of the neck, and lymph node metastasis in this region is usually from a primary lesion at the base of the tongue or elsewhere in the oropharynx. Common lateral neck masses include branchial cleft cyst, carotid body tumor, neurogenic tumor, pan-neck infection, cystic hygroma, hemangioma, lipoma and lymphoma. Especially lymphosarcoma. Hodgkin's disease, cystic hygroma, hemangioma and branchial cleft cyst and more common and often manifest in the young patients. Many head and neck disease processes manifest as neck masses. These conditions are treated by surgical excision, except for some inflammatory masses, and often those also must be excised before a diagnosis can be made. We retrospectively reviewed 5-year experiences in the treatment of lateral neck masses at our department to define better clinical characteristics of the masses and the optimal diagnostic and therapeutic approaches to these rare diseases.
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Agar-Gelatin혼합겔의 점탄성 측정에 관한 연구
김경이,김남희 성신여자대학교 기초과학연구소 1984 基礎科學硏究誌 Vol.1 No.-
Agar 분말 1%를 증류수에 분산시켜 기재로 하고 여기에 gelatin powder를 농도가 다르게 혼합시켜 일정한 온도로 보존하여 Gel을 성숙시켰다. 완성된 gel을 thermostat circulator로 온도조절 하면서 rheometer의 compression test로 experimental curve를 얻었고 일정한 stress를 주었을 때 일어나는 relaxation phenomena를 각 농도에서 관찰하였고 Voigt element로 처리하여 shift factor를 산출하였다. 이로부터 activation energy를 각 농도별 물질로 부터 얻었으며 그 값은 각각 14.25㎉/㏖e, 10.50㎉/㏖e, 5.50㎉/㏖e이였다. In these experimentals, 1%-agar powder dispersed in distilled water was used as basic material and blend gels of gelatin of a range of concentration were matured at constant temperature. By the compression test of a Rheometer, the experimental curves for blend gels were obtained controlling temperature by thermostat circulator. The shift factors of blend gels for relaxation phenomena were calculated by use of the voigt element. As a result, the activation energies of each concentration were obtained and their values were 14.25㎉/㏖e, 10.50㎉/㏖e, 5.50㎉/㏖e.
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김남재,김진희,이승민,이상우,성재규,김석현,이병석,이헌영,이경태 대한소화기내시경학회 1999 Clinical Endoscopy Vol.19 No.1
Background/Aims: The objective of this paper is to compare the effectiveness of com-mon bile duct stone extraction by conditions and methods. Methods: Endoscopic sphinc-terotomies with stone extraction were practiced in 71 patients with common bile duct stones by basket extraction, balloon extraction and mechanical lithotripsy. Results: 1) In 71 patients with CBD stone, sex distribution showed predominence in females (56.3%) and most of the cases were over 60 years old. 2) After sphincterotomy, the overall success rate of the stone extraction was 87.3% (with balloon and basket or mechanical lithotrispy). The removal methods of the stone extractions were varied, but the most commonly used method was basket extraction (50.7%). 3) The complications of sphicterotomy were noted in 10 cases and in 8 cases minor bleeding was stopped with a hypertonic saline epinephrine injection. 4) After the stone extraction, counts and levels of leukocyte, aspartate transami-nase, alanine transaminase, alkaline phosphatase and total bilirubin were significantly improved (p <0.05). 5) Removal methods according to stone size did not show a signifi-cant difference, but the mean size of the stones was different. According to the several methods, the mean diameter of stones were different. The stone size was 1.1 cm in the case of spontaneous removal, 1.4 cm in balloon or basket removal, 1.9 cm in mechanical lithotripsy and 2.0 cm in surgical removal. Conclusions: Endoscopic stone extraction was effective and safe method with low rate of complications. However there were some significant difficulties in removing large or impacted stones, therefore EHL, ESWL or operation should be considered.
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김남재,김진희,이승민,서승원,이상우,성재규,김석현,이헌영,이병석,이경태 대한소화기내시경학회 1999 Clinical Endoscopy Vol.19 No.4
Background/Aims: Various gastric and duodenal lesions with gastrofiberscopy were observed in patients with obstructive biliary disease. Methods: A clinical analysis of the endoscopic findings was carried out on 88 patients with obstructive biliary disease, from February 1994 to January 1998, in the department of Internal Medicine, Chungnam National University Hospital. Results: 1) In the 88 patients, sex distribution showed predominance in the males (47/41) and most of the cases involved those in their 60's. 2) The obstructive biliary diseases were included, common bile duct stones (53.4%), common bile duct cancer (18.2%), pancreatic cancer (18.2%), Klatskin tumor (4.5%) and common hepatic duct cancer (3.4%). 3) The gastroduodenal lesions involved in the obstructive biliary diseases were, erosive gastritis (22.7%), duodenal ulcer (8.0%), gastric ulcer (5.7%), and acute duodenitis (3.4%) in orders. Conclusions: Significant upper gastrointestinal lesions were found in obstructive biliary disease.
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김용호(Kim, Yong Ho),정경순(Jung, Keong Soon),남연주(Nam, Yeon Ju) 강원대학교 사회과학연구원 2012 사회과학연구 Vol.51 No.2
본 연구는 부산시청자미디어센터(이하 미디어센터)의 미디어교육에 참여한 청소년들을 대상으로 미디어체험 프로그램(뉴스/라디오/토론/드라마)의 유형과 청소년의 성격유형(외/내향/사고/감정)에 따른 미디어능력 향상의 차이를 실증적으로 검토해보았다. 이를 위해 바아케(Baacke,1997)의 미디어능력 개념인 지각/지식, 비판/비평, 이용/상호작용, 제작/구성능력 등을 차용하여 각 능력에 미치는 효과의 차이를 알아보았다. 연구결과는 다음과 같이 요약할 수 있다. 첫째, 청소년의 외/내향성에 따른 미디어교육효과는 내향성 청소년이 외향성 청소년에 비해 미디어 교육 후의 미디어능력(지각/지식, 비판/비평, 이용/상호작용, 제작/구성능력)이 더 크게 향상되는 것으로 나타났다. 평소 수동적이고 자발적이지 못한 내향성 청소년들이 미디어체험을 통해 자신의 잠재력을 표출할 수 있는 기회를 가짐으로서 나타난 결과로 생각된다. 둘째, 청소년의 사고/감정성에 따라서는 교육 전에는 감정형의 미디어능력이 더 높게 나타났으나, 교육 후에는 오히려 사고형 청소년들의 비판비평능력과 제작능력이 더욱 향상된 것으로 나타났다. 이러한 결과는 미디어교육을 통해 감성적 측면이 다소 부족한 사고형의 청소년들에게 친구들과의 상호관계 속에서 미디어에 대한 보다 조화로운 사고를 할 수 있는 기회를 제공한 것으로 보인다. 셋째, 체험 프로그램 유형에 따른 미디어능력에서는 라디오프로그램에서 가장 높은 미디어교육 효과가 나타났다. 이는 라디오 프로그램은 타 프로그램과는 달리 시사, 정보, 연예, 고민상담, 청취자 가상 연결 등 프로그램 구성에 있어 제한된 포맷이 없으므로, 라디오 프로그램의 수강만으로도 다양한 프로그램 장르의 제작형식을 체험해볼 수 있다는 점이 크게 작용한 것으로 예상된다. 본 연구를 통해 체험 프로그램의 유형과 수용자의 성격유형에 따른 차별적인 교육효과를 확인할 수 있었다. 이러한 결과는 지금까지는 미디어교육이 획일적이고 일괄적으로 운영되었다면, 향후 미디어교육은 세분화된 수용자의 특성을 고려한 맞춤형 미디어교육 프로그램과 교육방식의 개발이 이루어져야함을 시사한다. This study is about how teenager’s personalities(Extrovert, Introvert, Thinking, Emotional) are related on improving their media ability when participating the media experience program (News/ Radio / Discussion/ Drama) done in the Busan community center. To do so Baake(1997) media ability concept(perception/ knowledge, critique/criticism, use/ Interaction, configuration/ capability)much higher than the teenagers with extroverted personality. The summary of the result is as follow. First, on the teenagers with introverted personality had improved their media ability(perception/ knowledge, critique/criticism, use/ Interaction, configuration/capability) much higher than the teenagers with extroverted personality. This is thought to be caused due to introverted teenagers having the chance to express their potentiality through media experience. Second, prior to the training emotional teenagers had higher media ability, but after the training teenagers with thinking ability had the higher media ability on critique/ criticism, and creation areas. Thinking teenagers who may be little lack of emotion have the chance to get more emotional through interaction among the others which gives them higher possibility to do harmonious thinking. Third, the radio program had the highest media program effect in the experience program. This is because, unlike other programs radio doesn’t have the restrict format and could give the experience on all kinds of production ways just by taking the training like virtual connection, current affairs, information, entertainment, counseling and etc. The study have especially focused in the personal characteristic. If the media training has been done in a standardized way, through the study we can conclude to develop media programs considering the trainee character so we can give customized trainings.
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